[Surgical treatment of paraurethral cysts in women].

Abstract

We operated 29 patients aged 16-54 (mean age 35.4 years) with paraurethral cysts. Of them, 26 (89.6%) patients had skin cysts, 3 (10.4%) patients had Hartner cysts. The size of the cysts varied from 1.2 to 6 cm in case of skin cysts and from 4 to 8 cm in Hartner cysts. The paraurethral cysts were detected at vaginal examination. The diagnosis was confirmed at ultrasound examination. The operations were performed under general anesthesia in 23 and under local anesthesia in 6 women. Normal urination restored in 27 patients within 4 postoperative days. Postoperative cystitis developed in 2 patients with an abscess. No malignancy was found at histological examination. Paraurethral cysts are treated by single-stage surgery or resection and destruction of the cystous capsule with subsequent suturing on the vaginal wall.